P Praxis·MD
● Active Type 1 · Individual

Diego Maldonado Quezada

Specialist/Technologist·Moscow, ID· NPI 1679266308 · Enumerated 2023 · 2 years on NPI
Maldonado Quezada is 1 of 94 specialist/technologist providers in Moscow and 1 of 326 in Idaho.
NPI age
2 years
Enumerated 2023-05-30
Primary specialty
Specialist/Technologist
Plus 2 subspecialties
Licensed in
CA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-08-02
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 326 active specialist/technologist providers in Idaho.

NPI age
2 years
↓ 6 yr below median (8 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
2
In the 10% of peers with subspecialties

NPI lifetime · 2023 → 2026

2023-05Enumerated in NPPES
2023 2026

Where they practice

Practice location
875 Perimeter Dr
Moscow, ID 838449803
📞 2088856111
Mailing address
604 W A St Apt B
Moscow, ID 838432198

Specialties

  • Specialist/Technologist Primary
    Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently,...
    CA license #2000057806 taxonomy 2255A2300X
  • Specialist/Technologist
    General classification identifying individuals who are trained on a specific piece of equipment or technical procedure.
    taxonomy 235500000X
  • Student in an Organized Health Care Education/Training Program
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    taxonomy 390200000X

Practice context

Part of a multi-provider practice. 98 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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